AzaSite® Pricing Information

The price you pay:

Without insurance

$45 for a one-month supply (per 2.5ML) of Azasite through Akorn's EyeRx Direct program

With insurance

Pay no more than $45 for a one-month supply (per 2.5ML) of Azasite through Akorn's EyeRx Direct program

With Medicare Part D or similar state or federally funded programs

If your copay is less than $45 for a one-month supply, you will pay your plan copay amount

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Do I need insurance? : No.

Can I use my insurance? : Yes, if your copay is less than $45 for a one-month supply of Azasite, we will process your medication through your insurance. If your copay is more than $45 for a one-month supply of Azasite, or if your insurance restricts coverage of Azasite, orders will not be processed through insurance and you will pay $45 through the Akorn EyeRx Direct program.

rs will not be processed through Medicare Part D (or similar state or federally funded program) and you will pay $45 through the Akorn EyeRx Direct program.

Will the amount I pay be applied to my true out of pocket (TrOOP) costs for insurance, Medicare Part D, Medicaid or a similar state or federally funded program? : No.

This program is not insurance or a discount card. Patients must have a valid prescription. Taxes may apply. Orders processed without the use of insurance may not be submitted for reimbursement to any state or federally funded programs such as Medicare or Medicaid, and are not eligible to be applied to Medicare Part D true out of pocket (TrOOP). The manufacturer, or its affiliates, reserve the right to rescind, revoke, or amend this program at any time without notice.

Card is not health insurance. No membership fees.

If your product is available as a generic, you may pay less with other offers or by receiving the generic.

Patients should always ask their doctors for medical advice about adverse events.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/MedWatch or call 1-800-FDA-1088.

SAVING IS EASY

Here's How To Save

Send your prescription

to Eagle Pharmacy.
You can also ask your doctor to ePrescribe your prescription to Eagle Pharmacy

Search

for your medication here and following the prompts to signup in the cost savings program.

*No financial or insurance requirements

That's all there is to it.

Enjoy the Great Savings.
Your medication will be delivered to your door.

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